Summary

This document provides criteria for interpreting urine cultures, differentiating between contamination and significant bacteriuria in various patient populations (adults and children). It outlines thresholds for different types of urine samples and clinical situations, including complicated UTIs and recurrent UTIs.

Full Transcript

Urine culture – contamination of urine sample  Specimen collected using non-invasive methods  < 103 CFU/ml  Specimen collected using invasive methods  < 102 CFU/ml Urinare culture – significant bacteriuria  Midstream urine - adults Complicated UTI...

Urine culture – contamination of urine sample  Specimen collected using non-invasive methods  < 103 CFU/ml  Specimen collected using invasive methods  < 102 CFU/ml Urinare culture – significant bacteriuria  Midstream urine - adults Complicated UTI  105 CFU/ml urine Recurrent UTI (women) Upper UTI with symptoms (without complications)  104 CFU/ml urine Lower UTI with symptoms  103 CFU/ml urine (men and women) Urinare culture – significant bacteriuria  catheter-collected urine – collected always by new catheter - adults UTI with symptoms  103 CFU/ml urine UTI without symptoms  105 CFU/ml urine Urinare culture – significant bacteriuria  children Catheter or suprapubic bladder puncture  5*104 CFU/ml urine Catheter or suprapubic bladder puncture  5*104 CFU/ml urine AND pyuria in children 2-24 months old Midstream sample AND symptoms of UTI  105 CFU/ml urine

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